Estates at Fridley LLC

NPI #1962940437 in Fridley, Minnesota

Provider Information

NPI Number
1962940437
Entity Type
Organization
Organization Name
Estates at Fridley LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 5, 2017
Last Updated
Feb 5, 2017

Practice Location

Address
5700 E RIVER RD
ZIP Code
55432-6149
Phone
(763) 571-3150

Authorized Official

Name
JOSHUA LEGUM
Title
CEO
Phone
(507) 625-8741

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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